Richard Gamiz PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Richard Gamiz PA-C
NPI Number
1558323444
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/05/2006
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
PA9101381
Contact
Information
Purpose
Mailing
Location
Address
705 WELLS RD STE 300
8262 POINT MEADOWS DR STE 202
City
Orange Park
Jacksonville
State
FL
FL
Postal Code
32073-2982
32256-4700
Country
US
US
Telephone Number
(904) 282-6331
(042) 654-3109
Identifiers
Identifier
2921367 00
P00205054
Identifier State
FL
Unknown
Identifier Issuer
Unknown
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/14/2022
Provider Address
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